Idaho
Division of Occupational and Professional Licenses
JENNIFER WADE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2786
Date granted
12/28/2010
Date expires
11/18/2012
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
OMAHA NE 68144
idaholicensing.com
ID 43733463
LAST UPDATED 2024-02-28 02:41:14 UTC
LAST UPDATED 2024-02-28 02:41:14 UTC
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